| NPI | 1770371429 |
|---|---|
| Doing Business As | COLQUITT REGIONAL HOME DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JIM MATNEY President/CEO 229-890-3532 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |